Individual provider · Type 1 NPI
Susan Caulfield Wise, MSPT
Pediatric Physical Therapist · Springfield, VA
Practice location
7405 Calico Ct
Springfield, VA 22153-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 2305204478 (VA) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1124353792
Susan Caulfield Wise, MSPT's National Provider Identifier is 1124353792, issued on Oct 14, 2009. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Springfield, VA. The record was last updated on Oct 14, 2009.